Madison Marie Mabry, PAC

NPI #1194348219 in Portland, Oregon

Provider Information

NPI Number
1194348219
Entity Type
Individual
Name
Madison Marie Mabry, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PAC
Enumeration Date
May 22, 2020
Last Updated
Nov 5, 2024

Practice Location

Address
5050 NE HOYT ST STE 138
State
Oregon
ZIP Code
97213-2955
Phone
(503) 238-1061

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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